At Horizons, we use a packet of intake forms to gather information before we see you for the first time. You may fill out the forms at the office (please come 15 – 20 minutes early to do so) or you may print out the forms, fill them out and bring them with you. You will also be asked to read and sign our Services and Fee Agreement, which is included with each of the intake forms, above.
If the client (the person in whose name services will be billed and perhaps insurance billing submitted) is an adult coming for an individual appointment, use the Adult Intake Form.
For couples, use the Couple Intake Form. The person in whose name services will be billed should complete the first three pages. The client AND the spouse/partner should read and sign pages 3-6 (Services and Fee Agreement.) Spouse/partner should also complete the last two pages (Additional Information for Spouse/Partner.)
If the client (the person in whose name services will be billed and perhaps insurance billing submitted) is under 18, use the Child/Adolescent Intake Form.
Insurance companies often have negotiated rates with Horizons or with individual therapists. At times, therapists make arrangements with clients for reduced fees. Your fee agreement will reflect agreements with your insurance provider or agreements made directly by you with your therapist.
PLEASE NOTE: If you cancel an appointment, you must notify us at least 24 hours before the scheduled time, or you will be billed the full session rate, not your copay. Insurance will not cover charges for unkept/late cancelled appointments, so you will personally be responsible for such charges.